Individual
TYWANNA EVETTE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10923 GOLDEN SUNSHINE DR, HOUSTON, TX 77064-4052
(346) 244-3850
Mailing address
10923 GOLDEN SUNSHINE DR, HOUSTON, TX 77064-4052
(346) 244-3850
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
TX
Enumeration date
05/17/2022
Last updated
05/17/2022
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